Ancient, medieval, Islamic and world history -- comments, resources and discussion.

Friday, March 26, 2010

A remarkable story about one of the United States and Iran

Every once in a while a news story shakes up your comfortable view of what the world is like. I have my cliché views of Mississippi, backward and conservative, and though I am not nearly so paranoid about Iran as most people in North America, it is a place with a repressive government, tremendous economic problems, which poses certain dangers to people in countries that its government disapproves of.

Before you read this, I would not have expected to hear that people in the state of Mississippi and the Islamic Republic of Iran were cooperating on a project to bring Iranian public health techniques to Mississippi. Since I think that a serious commitment to public health is practically synonymous with "civilization," this article in the Times Online both flabbergasted and pleased me.

An excerpt:

...with Congress acrimoniously debating the reform of healthcare, it is to Iran that one of America’s poorest communities is turning to try to resolve its own health crisis.

A US doctor and a development consultant visited Iran in May to study a primary healthcare system that has cut infant mortality by more than two-thirds since the Islamic revolution in 1979.

Then, in October, five top Iranian doctors, including a senior official at the health ministry in Tehran, were quietly brought to Mississippi to advise on how the system could be implemented there.

The Mississippi Delta has some of the worst health statistics in the country, including infant mortality rates for non-whites at Third World levels.

“It’s time to look for a new model,” said Dr Aaron Shirley, one of the state’s leading health campaigners.

“Forty years ago, when I was a resident at Jackson hospital, I was in charge of admitting sick babies and was astonished at all the children coming in from the delta with diarrhoea, meningitis, pneumonia.

“After years of health research and expenditure of millions of dollars, nothing much has changed.”...Facing shortages of money and trained doctors at the start of the Iran-Iraq war in 1980, the new government launched a system based on community “health houses”, each serving about 1,500 people.

Locals were trained as health workers known as behvarz, who would travel their area, dispensing advice about healthy eating, sanitation and contraception as well as monitoring blood pressure and conditions such as diabetes.

It was a stunning success, reducing child mortality rates by 69% and maternal mortality in rural areas from 300 per 100,000 births to 30. There are now 17,000 health houses in Iran, covering more than 90% of its rural population of 23m.

Miller contacted Shirley, who is seen as a community health pioneer in Mississippi and had recently converted a deserted shopping centre in Jackson into a “medical mall” for the poor.

“I thought if the Iranians could do it with a fraction of resources we have, then why shouldn’t we?” said Shirley....Shirley and Miller visited Iran in May and were astonished to be welcomed with open arms. When they went to remote villages to see the health houses, the Iranians were equally amazed.

“They told us this is a miracle,” said Miller. “Not only were Americans coming here, but also they were learning from us rather than telling us what to do.”

One villager exclaimed: “We always knew rain fell down but never knew it could fall up.”